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Strengthening the Implementation of Marriage and Relationship Programs (SIMR) - Evaluation Plan Template
Formative Data Collections for ACF Research
OMB: 0970-0356
IC ID: 244933
OMB.report
HHS/ACF
OMB 0970-0356
ICR 202012-0970-002
IC 244933
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0356 can be found here:
2024-01-23 - No material or nonsubstantive change to a currently approved collection
2023-12-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Appendix A_SIMR OMB_Evaluation Plan Template_12-14-20_clean.docx
Other-Template
Appendix B_SIMR OMB_Evaluation Plan Template Instructions_12-14-20_clean.docx
Instruction
50898 SIMR_OMB_EvalPlans_StatementA_12-15-20_clean_final.docx
SSA - GenIC SIMR Eval Plan Template
IC Document
Appendix C_SIMR OMB_Evaluation Plan Email Template_12-14-20_clean.docx
Appendix C - Email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Strengthening the Implementation of Marriage and Relationship Programs (SIMR) - Evaluation Plan Template
Agency IC Tracking Number:
OPRE
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Template
Appendix A_SIMR OMB_Evaluation Plan Template_12-14-20_clean.docx
Yes
Yes
Fillable Fileable
Instruction
Appendix B_SIMR OMB_Evaluation Plan Template Instructions_12-14-20_clean.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
43
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
43
0
43
0
0
0
Annual IC Time Burden (Hours)
344
0
344
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA - GenIC SIMR Eval Plan Template
50898 SIMR_OMB_EvalPlans_StatementA_12-15-20_clean_final.docx
12/15/2020
Appendix C - Email
Appendix C_SIMR OMB_Evaluation Plan Email Template_12-14-20_clean.docx
12/15/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.